Rebecca Dublin
Individual provider Active NPI Speech-Language Pathologist · Waldorf, MD
NPI 1497585111 · NPPES record last updated Aug 6, 2024
Key facts
- NPI
- 1497585111
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 11156 (MD)
- Practice address
- 11665 Doolittle Dr
Waldorf, MD 20602-2898 - Phone
- (877) 407-3422
- Fax
- (877) 407-4329
- NPI assigned
- Aug 6, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Maryland St Joseph Rehabilitation Medicine LLC
Fox Rehabilitation Services LLC
Practice addresses (Care Compare)
7501 Osler Dr
Suite 301
Towson, MD 21204-7744
Phone (410) 337-1349
9885 Greenbelt Rd
Lanham, MD 20706-2302
Phone (877) 407-3422
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240823002853 | DC | Practitioner - Qualified Speech Language Pathologist | 3274072046 | Reassigns benefits to 1 organization |
| I20240823003027 | MD | Practitioner - Qualified Speech Language Pathologist | 3274072046 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11156 | MD | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services LLC | Current |
Accepting new patients | |
| University of Maryland St. Joseph Rehabilitation Medicine, LLC | Current |
Accepting new patients | |
| Fox Rehab SLP MD LLC | Speech-Language Pathologist | Current |
Accepting new patients |
Locations
7501 Osler Dr
Ste 301
Towson, MD 21204
Phone (410) 337-1349
11665 Doolittle Dr
Waldorf, MD 20602
Phone (301) 638-4100
7 Carnegie Plz
Cherry Hill, NJ 08003
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 11156 | MD | Yes |
Addresses
Primary practice location
11665 Doolittle Dr
Waldorf, MD 20602-2898
Mailing address
7 Carnegie PLZ
Cherry Hill, NJ 08003-1000
Phone (877) 407-3422
Other providers in Waldorf, MD
- Michael Jonathan Drakos
- Truly Draughn
- DRS. Chhabra & Sait, M.D., P.a.
- Olivia Dryjski
- Pablo Aballe Dublin Jr.
- Jaime Duckett
- Lauren Dudeck
- Ashley Dunn-Kerr
- Charity Durand-Gill
- Monique Durden
All providers in Waldorf, MD · Speech-Language Pathologist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.